| NPI | 1497832380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM H KUNTZ Psychologist 314-647-4695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MO 01685) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 002855) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-02-03 |